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Cricohyoidopexy in Selected Infrahyoid Epiglottic Carcinomas Presenting With Pathological Preepiglottic Space Invasion

Cricohyoidopexy in Selected Infrahyoid Epiglottic Carcinomas Presenting With Pathological... Abstract • Nineteen patients who presented with infrahyoid epiglottic squamous cell carcinoma with gross pathological preepiglottic space invasion, not amenable to a partial horizontal supraglottic laryngectomy, were offered a supracricoid partial laryngectomy with a cricohyoidopexy technique; this was an attempt to preserve physiological phonation, respiration, and deglutition while achieving the same local control rate as with a total laryngectomy. Preoperative chemotherapy and bilateral jugulocarotid lymph node dissection were performed in all cases. Patients were monitored for at least 5 years or until death. No patients were unavailable for follow-up. The 5-year actuarial survival (Kaplan-Meier method) was 84.2%. Local recurrence, nodal recurrence, and distant metastasis occurred once in our series, while six patients presented with a second primary tumor. We present, analyze, and compare functional results with those of the previously reported series. Our experience with the supracricoid partial laryngectomy with a cricohyoidopexy, in the face of selected infrahyoid epiglottic squamous cell carcinoma invading the preepiglottic space, not amenable to a partial horizontal supraglottic laryngectomy, suggested that a total laryngectomy might be avoided without decreasing the cure rate. (Arch Otolaryngol Head Neck Surg. 1993;119:881-886) References 1. Olofsson J, Van Nostrand AWP. Growth and spread of laryngeal and hypopharyngeal carcinoma with reflections on the effect of preoperative irradiation: 139 cases studied by whole organ sectioning . Acta Otolaryngol Suppl (Stockh). 1973;308( (suppl) ):1-83. 2. Ogura JH. Surgical pathology of cancer of the larynx . Laryngoscope. 1955;65:867-926.Crossref 3. Bocca E, Pignataro O, Mosciaro O. Supraglottic surgery of the larynx . Ann Otol Rhinol Laryngol. 1968;77:1005-1026. 4. Kirchner JA, Som ML. Clinical and histological observations on supraglottic cancer . Ann Otol Rhinol Laryngol. 1971;80:638-645. 5. Kirchner JA. One hundred laryngeal cancers studied by serial section . Ann Otol Rhinol Laryngol. 1969;78:689-709. 6. McDonald TJ, DeSanto LW, Weiland LH. Supraglottic larynx and its pathology as studied by whole laryngeal sections . Laryngoscope. 1976;86: 635-648.Crossref 7. Zeitels SM, Vaughan CW. Preepiglottic space invasion in early epiglottic cancer . Ann Otol Rhinol Laryngol. 1991;100:789-792. 8. Robbins KT, Michaels L. A study of whole organ cancerous larynges to determine resectability by conservation surgery . Head Neck. 1984;7:2-7.Crossref 9. Pressman J, Dowdy A, Libby R, Fields M. Further studies upon the submucosal compartments and lymphatics of the larynx by the injection of dyes and radioisotopes . Ann Otol Rhinol Laryngol. 1956;65:963-980. 10. Olofsson J. Growth and spread of laryngeal carcinoma . J Otolaryngol. 1974;3:469-474. 11. Pearson BW. Subtotal laryngectomy . Laryngoscope. 1981;91:1904-1912.Crossref 12. Mozolewski ES, Zietek E, Wysocki R, Jach K, Jassem W. Arytenoid vocal shunt in laryngectomized patients . Laryngoscope. 1975;75:853-861.Crossref 13. Laccourreye H, Brasnu D, Lacau StGuily J, Fabre A. New concepts in conservation surgery of the larynx . In: Fried MP, ed. The Larynx: A Multidisciplinary Approach . Boston, Mass: Little Brown & Co Inc; 1988:297-308. 14. Laccourreye H, Laccourreye O, Weinstein GS, Ménard M, Brasnu D. Supracricoid laryngectomy with cricohyoidopexy: a partial laryngeal procedure for supraglottic and transglottic carcinoma . Laryngoscope . 1990;100: 735-741. 15. Majer H, Rieder W. Technique de laryngectomie permettant de conserver la perméabilité respiratoire: la cricohyoidopexie . Ann Otolaryngol Chir Cervicofac . 1959;76:677-683. 16. Beahrs OH, Mers MH, eds. American Joint Committee on Cancer Manual for Staging of Cancer . 2nd ed. Philadelphia, Pa:JB Lippincott; 1983. 17. Robbins KT, Medina JE, Wolfe GT, Levine PA, Sessions RB, Pruet CW. Standardizing neck dissection terminology . Arch Otolaryngol Head Neck Surg . 1991;117:601-605.Crossref 18. Kaplan EL, Meier P. Nonparametric estimation from incomplete estimation . J Am Stat Assoc . 1958;53:457-481.Crossref 19. Dayal VS, Bahri H, Stone PC. Preepiglottic space: anatomic study . Arch Otolaryngol Head Neck Surg . 1972;95:130-133.Crossref 20. Kirchner JA. What have whole organ sections contributed to the treatment of laryngeal cancer? Ann Otol Rhinol Laryngol . 1989;98:661-667. 21. Lutz CK, Johnson JT, Wagner RL, Myers EN. Supraglottic carcinoma: patterns of recurrence . Ann Otol Rhinol Laryngol . 1990;99:12-17. 22. Mendenhall WM, Million RR, Cassissi NJ. Squamous cell carcinoma of the supraglottis larynx treated with radical irradiation: analysis of treatment parameters and results . Int J Radiat Oncol Biol Phys . 1984;10:2223-2230.Crossref 23. Bocca E, Pignataro O, Oldini C. Supraglottic laryngectomy: 30 years of experience . Ann Otol Rhinol Laryngol . 1983;92:14-18. 24. Bocca E. Surgical management of the supraglottic cancer and its lymph node metastases in a conservative perspective . Ann Otol Rhinol Laryngol . 1991;100:261-267. 25. Piquet JJ, Darras JA, Burny A, Desaulty A. La chirurgie reconstructive du larynx: résultats carcinologiques et fonctionels . J Fr Otorhinolaryngol . 1984;33:215-220. 26. Marandas P, Luboinski B, Leridant AM, Lambert J, Schwaab G, Richard JM. La chirurgie fonctionelle dans les cancers du vestibule laryngé: 149 cas traités à l'institut Gustave-Roussy . Ann Otolaryngol Chir Cervicofac . 1987;104:259-265. 27. Botazzi D. La laryngectomie subtotale reconstructive selon Labayle: expérience clinique sur 21 sujets . Rev Laryngol Otol Rhinol (Bord) . 1986; 107:207-208. 28. Pech A, Cannoni M, Giovanni A, Thomassin JM, Zanaret M, Gouber JL. La nécessaire sélection des techniques chirurgicales dans le traitement des cancers du larynx . Ann Otolaryngol Chir Cervicofac . 1986;103:565-575. 29. Prades JM, Martin CH, Garban TH, Perron X, Mayaud R. Les laryngectomies reconstructives: aspects techniques et fonctionnels . Ann Otolaryngol Chir Cervicofac . 1987;104:281-287. 30. Laccourreye O, Cauchois R, Ménard M, Brasnu D, Laccourreye H. Déglutition et laryngectomies partielles supracricoidiennes . Ann Otolaryngol Chir Cervicofac . 1992;109:73-75. 31. Litton WB. Aspiration after partial laryngectomy . Laryngoscope . 1969;79:887-908.Crossref 32. Staple TW. Factors in successful deglutition following supraglottic laryngectomy . Ann Otol Rhinol Laryngol . 1982;91:579-583. 33. Kirchner JA, Carter D. Intralaryngeal barriers to the spread of cancer . Acta Otolaryngol (Stockh) . 1987;103:503-513. 34. Timon CI, Gullane PJ, Brown D, Van Nostrand AWP. Hyoid bone involvement by squamous cell carcinoma: clinical and pathological features . Laryngoscope . 1992;102:515-520.Crossref 35. Sasaki CT, Fukuda H, Kirchner JA. Laryngeal abductor activity in response to varying ventilatory resistance . Trans Am Acad Ophthalmol Otolaryngol . 1973;77:403-408. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Cricohyoidopexy in Selected Infrahyoid Epiglottic Carcinomas Presenting With Pathological Preepiglottic Space Invasion

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Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1993.01880200087012
Publisher site
See Article on Publisher Site

Abstract

Abstract • Nineteen patients who presented with infrahyoid epiglottic squamous cell carcinoma with gross pathological preepiglottic space invasion, not amenable to a partial horizontal supraglottic laryngectomy, were offered a supracricoid partial laryngectomy with a cricohyoidopexy technique; this was an attempt to preserve physiological phonation, respiration, and deglutition while achieving the same local control rate as with a total laryngectomy. Preoperative chemotherapy and bilateral jugulocarotid lymph node dissection were performed in all cases. Patients were monitored for at least 5 years or until death. No patients were unavailable for follow-up. The 5-year actuarial survival (Kaplan-Meier method) was 84.2%. Local recurrence, nodal recurrence, and distant metastasis occurred once in our series, while six patients presented with a second primary tumor. We present, analyze, and compare functional results with those of the previously reported series. Our experience with the supracricoid partial laryngectomy with a cricohyoidopexy, in the face of selected infrahyoid epiglottic squamous cell carcinoma invading the preepiglottic space, not amenable to a partial horizontal supraglottic laryngectomy, suggested that a total laryngectomy might be avoided without decreasing the cure rate. (Arch Otolaryngol Head Neck Surg. 1993;119:881-886) References 1. Olofsson J, Van Nostrand AWP. Growth and spread of laryngeal and hypopharyngeal carcinoma with reflections on the effect of preoperative irradiation: 139 cases studied by whole organ sectioning . Acta Otolaryngol Suppl (Stockh). 1973;308( (suppl) ):1-83. 2. Ogura JH. Surgical pathology of cancer of the larynx . Laryngoscope. 1955;65:867-926.Crossref 3. Bocca E, Pignataro O, Mosciaro O. Supraglottic surgery of the larynx . Ann Otol Rhinol Laryngol. 1968;77:1005-1026. 4. Kirchner JA, Som ML. Clinical and histological observations on supraglottic cancer . Ann Otol Rhinol Laryngol. 1971;80:638-645. 5. Kirchner JA. One hundred laryngeal cancers studied by serial section . Ann Otol Rhinol Laryngol. 1969;78:689-709. 6. McDonald TJ, DeSanto LW, Weiland LH. Supraglottic larynx and its pathology as studied by whole laryngeal sections . Laryngoscope. 1976;86: 635-648.Crossref 7. Zeitels SM, Vaughan CW. Preepiglottic space invasion in early epiglottic cancer . Ann Otol Rhinol Laryngol. 1991;100:789-792. 8. Robbins KT, Michaels L. A study of whole organ cancerous larynges to determine resectability by conservation surgery . Head Neck. 1984;7:2-7.Crossref 9. Pressman J, Dowdy A, Libby R, Fields M. Further studies upon the submucosal compartments and lymphatics of the larynx by the injection of dyes and radioisotopes . Ann Otol Rhinol Laryngol. 1956;65:963-980. 10. Olofsson J. Growth and spread of laryngeal carcinoma . J Otolaryngol. 1974;3:469-474. 11. Pearson BW. Subtotal laryngectomy . Laryngoscope. 1981;91:1904-1912.Crossref 12. Mozolewski ES, Zietek E, Wysocki R, Jach K, Jassem W. Arytenoid vocal shunt in laryngectomized patients . Laryngoscope. 1975;75:853-861.Crossref 13. Laccourreye H, Brasnu D, Lacau StGuily J, Fabre A. New concepts in conservation surgery of the larynx . In: Fried MP, ed. The Larynx: A Multidisciplinary Approach . Boston, Mass: Little Brown & Co Inc; 1988:297-308. 14. Laccourreye H, Laccourreye O, Weinstein GS, Ménard M, Brasnu D. Supracricoid laryngectomy with cricohyoidopexy: a partial laryngeal procedure for supraglottic and transglottic carcinoma . Laryngoscope . 1990;100: 735-741. 15. Majer H, Rieder W. Technique de laryngectomie permettant de conserver la perméabilité respiratoire: la cricohyoidopexie . Ann Otolaryngol Chir Cervicofac . 1959;76:677-683. 16. Beahrs OH, Mers MH, eds. American Joint Committee on Cancer Manual for Staging of Cancer . 2nd ed. Philadelphia, Pa:JB Lippincott; 1983. 17. Robbins KT, Medina JE, Wolfe GT, Levine PA, Sessions RB, Pruet CW. Standardizing neck dissection terminology . Arch Otolaryngol Head Neck Surg . 1991;117:601-605.Crossref 18. Kaplan EL, Meier P. Nonparametric estimation from incomplete estimation . J Am Stat Assoc . 1958;53:457-481.Crossref 19. Dayal VS, Bahri H, Stone PC. Preepiglottic space: anatomic study . Arch Otolaryngol Head Neck Surg . 1972;95:130-133.Crossref 20. Kirchner JA. What have whole organ sections contributed to the treatment of laryngeal cancer? Ann Otol Rhinol Laryngol . 1989;98:661-667. 21. Lutz CK, Johnson JT, Wagner RL, Myers EN. Supraglottic carcinoma: patterns of recurrence . Ann Otol Rhinol Laryngol . 1990;99:12-17. 22. Mendenhall WM, Million RR, Cassissi NJ. Squamous cell carcinoma of the supraglottis larynx treated with radical irradiation: analysis of treatment parameters and results . Int J Radiat Oncol Biol Phys . 1984;10:2223-2230.Crossref 23. Bocca E, Pignataro O, Oldini C. Supraglottic laryngectomy: 30 years of experience . Ann Otol Rhinol Laryngol . 1983;92:14-18. 24. Bocca E. Surgical management of the supraglottic cancer and its lymph node metastases in a conservative perspective . Ann Otol Rhinol Laryngol . 1991;100:261-267. 25. Piquet JJ, Darras JA, Burny A, Desaulty A. La chirurgie reconstructive du larynx: résultats carcinologiques et fonctionels . J Fr Otorhinolaryngol . 1984;33:215-220. 26. Marandas P, Luboinski B, Leridant AM, Lambert J, Schwaab G, Richard JM. La chirurgie fonctionelle dans les cancers du vestibule laryngé: 149 cas traités à l'institut Gustave-Roussy . Ann Otolaryngol Chir Cervicofac . 1987;104:259-265. 27. Botazzi D. La laryngectomie subtotale reconstructive selon Labayle: expérience clinique sur 21 sujets . Rev Laryngol Otol Rhinol (Bord) . 1986; 107:207-208. 28. Pech A, Cannoni M, Giovanni A, Thomassin JM, Zanaret M, Gouber JL. La nécessaire sélection des techniques chirurgicales dans le traitement des cancers du larynx . Ann Otolaryngol Chir Cervicofac . 1986;103:565-575. 29. Prades JM, Martin CH, Garban TH, Perron X, Mayaud R. Les laryngectomies reconstructives: aspects techniques et fonctionnels . Ann Otolaryngol Chir Cervicofac . 1987;104:281-287. 30. Laccourreye O, Cauchois R, Ménard M, Brasnu D, Laccourreye H. Déglutition et laryngectomies partielles supracricoidiennes . Ann Otolaryngol Chir Cervicofac . 1992;109:73-75. 31. Litton WB. Aspiration after partial laryngectomy . Laryngoscope . 1969;79:887-908.Crossref 32. Staple TW. Factors in successful deglutition following supraglottic laryngectomy . Ann Otol Rhinol Laryngol . 1982;91:579-583. 33. Kirchner JA, Carter D. Intralaryngeal barriers to the spread of cancer . Acta Otolaryngol (Stockh) . 1987;103:503-513. 34. Timon CI, Gullane PJ, Brown D, Van Nostrand AWP. Hyoid bone involvement by squamous cell carcinoma: clinical and pathological features . Laryngoscope . 1992;102:515-520.Crossref 35. Sasaki CT, Fukuda H, Kirchner JA. Laryngeal abductor activity in response to varying ventilatory resistance . Trans Am Acad Ophthalmol Otolaryngol . 1973;77:403-408.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 1993

References